Provider Demographics
NPI:1295064863
Name:MOBILITY WORKS LLC
Entity type:Organization
Organization Name:MOBILITY WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:A
Authorized Official - Last Name:CEPLENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OT/CEO
Authorized Official - Phone:860-767-7587
Mailing Address - Street 1:124 WESTBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1551
Mailing Address - Country:US
Mailing Address - Phone:860-767-7587
Mailing Address - Fax:
Practice Address - Street 1:124 WESTBROOK RD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1551
Practice Address - Country:US
Practice Address - Phone:860-767-7587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002596174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty